Ohio > Statewide > Department Of Commerce > Real Estate > Broker
Change Of Business Address - Ohio
| Change Of Business Address Form. This is a Ohio form and can be used in Broker Real Estate Department Of Commerce Statewide . |
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Please visit our website at www.com.ohio.gov/real 614 | 466-4100 Fax 614 | 644-0584 TTY/TDD: 800 | 750-0750 REAL ESTATE CHANGE OF BUSINESS ADDRESS Per Ohio Revised Code 4735.13(D), in case of any change of business location, a broker shall give notice to the superintendent, on a form prescribed by the superintendent, within thirty days after the change of location, whereupon the superintendent shall issue new licenses for the unexpired period without charge. If a broker changes a business location without giving the required notice and without receiving new licenses that action is prima-facie evidence of misconduct under division (A)(6) of section 4735.18. This form is interactive. You may, before printing, type your responses directly onto the form. Otherwise, this form must be typewritten or printed legibly in black ink. The company/broker original license must be returned with this application in order for the request to be processed. Incomplete or incorrect applications will be returned for correction. APPLICANT FILE NUMBER COMPANY FILE NUMBER OLD BUSINESS ADDRESS BUSINESS ENTITY NAME BUSINESS D.B.A. NAME OLD STREET ADDRESS CITY COUNTY STATE ZIP CODE + 4 BUSINESS PHONE NEW BUSINESS ADDRESS NEW STREET ADDRESS (This Cannot Be a P.O. Box) CITY COUNTY ( ) STATE ZIP CODE + 4 Date Name of applicant or broker/officer/member/partner authorized to submit this Signature of applicant or broker/officer/member/partner change. (type or print) authorized to submit this change. **THIS APPLICATION CANNOT BE PROCESSED WITHOUT RETURNING THE COMPANY/BROKER ORIGINAL LICENSE** NOTICE: Evidence that payment has been refused by the drawer's bank upon a check drawn to the order of the Ohio division of real estate shall constitute prima facie evidence of misconduct and shall constitute a violation of division (A)(6) of section 4735.18 of the Revised Code. Page 1 of 1 (Rev. 09/2011) "An Equal Opportunity Employer and Service Provider" American LegalNet, Inc. www.FormsWorkFlow.com
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